The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Background The COVID-19 pandemic has caused serious concerns and psychological distress globally.... more Background The COVID-19 pandemic has caused serious concerns and psychological distress globally. Healthcare workers remain one of the most affected groups due to life threatening risks in addition to increased working hours and labor intensity. All these factors may affect sleep quality of this population. The aim of this study is to evaluate the sleep behaviors of healthcare professionals working in secondary and tertiary hospitals in a large population in Turkey and to show how sleep quality is affected during the pandemic process using the easily applicable Jenkins Sleep Scale (JSS). The population of this cross-sectional descriptive study consists of two pandemic hospitals determined in Kahramanmaraş province. In our questionnaire, we asked subjective sleep quality, sleep time, time to fall asleep, total sleep time, and medication use. We also used JSS Turkish version (JSS-TR) to assess sleep quality and the Epworth Sleepiness Scale (ESS) for increased daytime sleepiness. Resul...
Background: Nosocomial infections are a global threat to human health worldwide. Aim: This study ... more Background: Nosocomial infections are a global threat to human health worldwide. Aim: This study aimed to investigate the change of nosocomial infection factors in equivalent historical periods in pediatric patients without COVID-19 before and during the pandemic in the pediatric intensive care unit. Method: The study was planned retrospectively. Data on hospital infection rates, incidence densities, invasive device-associated infections, infectious agents, comorbid diseases, and invasive procedures in non-COVID-19 pediatric patients were obtained from the medical records for the periods of April-September 2019 and April-September 2020 in the pediatric intensive care unit. Hand hygiene compliance rates of healthcare workers were evaluated. Results: Prior to the pandemic, the number of patients was 332, comprising 2,377 patient days with a nosocomial infection rate of 5.12, and an incidence density of 7.15. During the pandemic, the number of patients was 221, comprising 2,260 patient...
BACKGROUND Clostridium tetani is an anaerobic, gram-positive bacillus that causes tetanus infecti... more BACKGROUND Clostridium tetani is an anaerobic, gram-positive bacillus that causes tetanus infection. It usually enters the body through injury with contaminated objects. Tetanus differs from other diseases that can be prevented by vaccination in that it is not contagious and does not spread from person to person. The aim of this study is to evaluate the levels of Tetanus IgG in trauma patients admitted to the emergency department (ED). METHODS The study was planned as cross-sectional, prospective, and single-center. The study was conducted from January to July 2018 in the Kahramanmaraş Sütçü İmam University Hospital. Totally, 178 patients aged ≥18 years were included. For measurement of the level of Tetanus IgG, Clostridium tetani toxin 5S IgG kit (NovaLisa, NOVATEC) was used to quantitatively detect IgG type antibodies by micro-ELISA method in accordance with the manufacturer's recommendation. RESULTS In total, 143 cases were male and 35 were female. The mean age of the cases w...
Central Asian Journal of Medical Hypotheses and Ethics, 2021
Introduction: YouTube is a popular social media platform frequently searched by online users for ... more Introduction: YouTube is a popular social media platform frequently searched by online users for retrieving health-related information. Pulmonary rehabilitation programs have an important place in the COVID-19 treatment protocols. The aim of this study was to evaluate COVID-19 pulmonary rehabilitation videos on YouTube. Methods: A total of 180 videos tagged with the search terms “COVID-19 pulmonary rehabilitation”, “COVID-19 pulmonary exercise” and “COVID-19 pulmonary physiotherapy” were retrieved. Of these, 63 videos met the study inclusion criteria. The Global Quality Scale (GQS) and the modified DISCERN tool were performed for quality and reliability assessments. Duration of video, upload date, number of views, likes, dislikes, and comments were recorded. Video sources were determined. Results: Of the total 63 videos, 22 (34.9%) were classified in the high-quality group, 19 (30.2%) intermediate quality group, and 22 (34.9%) low quality group. The main sources of the high-quality...
Nowadays, antibiotic resistance is described as the most powerful matter that threatens human hea... more Nowadays, antibiotic resistance is described as the most powerful matter that threatens human health. We search for the effects of family physicians to rational use of antibiotics (RUA) and enhancing adaptation goals. The study is performed randomly in outpatients older than 18 whom were prescribed antibiotics by face-to-face questionnaire. Closed ended questions are asked about demographic features, RUA adaptation, family physician and chemist notification. Statistical analysis of acquired data is done. RUA non-adherence is 50.3% (67). Antibiotic is prescribed 51.1% (68) by family physicians because of upper respiratory tract infection, this group is the most non-adherence one with 63.2% (43). Family physicians informed 38.3% (51) prescribed patients about antibiotics. In the group informed by family physicians, it makes a meaningful difference in terms of adherence to the use of antibiotics and patient's having enough knowledge. Because it takes a long time to develop new anti...
Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi, 2019
Amaç: Bu çalışmada operasyon sonrası cerrahi alan enfeksiyonu gelişen hastaların operasyon öncesi... more Amaç: Bu çalışmada operasyon sonrası cerrahi alan enfeksiyonu gelişen hastaların operasyon öncesi ve sonrası yaptığı uygulamalar ve konağa ait faktörlerin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler: Çalışma prospektif, kesitsel ve tanımlayıcı olarak planlandı. Kahramanmaraş Sütçü imam Üniversitesi Tıp Fakültesi Hastanesinde farklı bölümler tarafından opere edilen ve enfeksiyon gelişen hastalar çalışmaya dahil edildi.Bulgular: Çalışmaya 67 hasta dahil edildi (% 59.7’si erkek, %40.3’ü kadın). Olguların % 19.4’üne (n=13) preoperatif dönemde kan transfüzyonu yapılmış iken, % 80.6’sına (n=54) kan transfüzyonu yapılmamıştır. Olguların % 97’si (n=65) preoperatif dönemde antiseptikli duş almış ve olguların % 53.7’si (n=36) preoperatif dönemde kıl temizliği yapmıştır. Operasyon sonrası yara yerinde enfeksiyon gelişen hastaların dağılımı incelendiğinde hastaların % 61’inde Gram (-) bakteri, % 25.5’inda Gram (+) bakteri ve % 4.5’inde mantar üremesi saptanmıştır. Sonuç: Cerrahi alan enf...
Background There is growing evidence indicating that children are less affected from COVID-19. So... more Background There is growing evidence indicating that children are less affected from COVID-19. Some authors speculate that childhood vaccinations may provide some cross-protection against COVID-19. In this study, our aim was to compare the circulating antibody titers for multiple childhood vaccine antigens, as an indicator of the state of immune memory between patients with COVID-19 and healthy controls, with a specific aim to identify the association between disease severity and antibody titrations which may indicate a protective function related to vaccine or disease induced memory. Methods This study is a case-control study including 53 patients with COVID-19 and 40 healthy volunteers. COVID-19 severity was divided into three groups: asymptomatic, mild and severe. We measured the same set of antibody titers for vaccine antigens, and a set of biochemical and infection markers, in both the case and control groups. Results Rubella (p = 0.003), pneumococcus (p = 0.002), and Bordetell...
On January 7, 2020, it was announced that the Chinese Government isolated a new variant of Corona... more On January 7, 2020, it was announced that the Chinese Government isolated a new variant of Coronavirus (SARS CoV-2). Officials reported that populations were not equally affected in terms of the number of cases, severe illness, and death. As of 28 December 2020, 81,000,000 cases have been confirmed globally, and approximately 1,770,000 total deaths have been reported for COVID-19. Besides difficulties of COVID-19 management in the acute stage, long-term consequences of the infection could cause widespread public health problems across the World. This review article aims to examine current literature regarding COVID-19, identify post-illness sequelae, detect patients at risk for sequelae, and provide guidance to management strategies. In the report, long-term pulmonary sequels and systemic problems including cardiovascular, neurological, psychiatric, endocrinologic, nephrological, hematologic, gastrointestinal, dermatologic, etc. of COVID-19 are discussed in accordance with recent scientific publications.
Background
There is growing evidence indicating that children are less affected from COVID-19. So... more Background There is growing evidence indicating that children are less affected from COVID-19. Some authors speculate that childhood vaccinations may provide some cross-protection against COVID-19. In this study, our aim was to compare the circulating antibody titers for multiple childhood vaccine antigens, as an indicator of the state of immune memory between patients with COVID-19 and healthy controls, with a specific aim to identify the association between disease severity and antibody titrations which may indicate a protective function related to vaccine or disease induced memory.
Methods This study is a case-control study including 53 patients with COVID-19 and 40 healthy volunteers. COVID-19 severity was divided into three groups: asymptomatic, mild and severe. We measured the same set of antibody titers for vaccine antigens, and a set of biochemical and infection markers, in both the case and control groups.
Results Rubella (p = 0.003), pneumococcus (p = 0.002), and Bordetella pertussis (p < 0.0001) titers were found to be significantly lower in the case group than the control group. There was a significant decline in pneumococcus titers with severity of disease (p = 0.021) and a significant association with disease severity for Bordetella pertussis titers (p = 0.014) among COVID patients. Levels of AST, procalcitonin, ferritin and D-dimer significantly increased with the disease severity.
Discussion Our study supports the hypothesis that pre-existing immune memory, as monitored using circulating antibodies, acquired from childhood vaccinations, or past infections confer some protection against COVID-19. Randomized controlled studies are needed to support a definitive conclusion.
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Background The COVID-19 pandemic has caused serious concerns and psychological distress globally.... more Background The COVID-19 pandemic has caused serious concerns and psychological distress globally. Healthcare workers remain one of the most affected groups due to life threatening risks in addition to increased working hours and labor intensity. All these factors may affect sleep quality of this population. The aim of this study is to evaluate the sleep behaviors of healthcare professionals working in secondary and tertiary hospitals in a large population in Turkey and to show how sleep quality is affected during the pandemic process using the easily applicable Jenkins Sleep Scale (JSS). The population of this cross-sectional descriptive study consists of two pandemic hospitals determined in Kahramanmaraş province. In our questionnaire, we asked subjective sleep quality, sleep time, time to fall asleep, total sleep time, and medication use. We also used JSS Turkish version (JSS-TR) to assess sleep quality and the Epworth Sleepiness Scale (ESS) for increased daytime sleepiness. Resul...
Background: Nosocomial infections are a global threat to human health worldwide. Aim: This study ... more Background: Nosocomial infections are a global threat to human health worldwide. Aim: This study aimed to investigate the change of nosocomial infection factors in equivalent historical periods in pediatric patients without COVID-19 before and during the pandemic in the pediatric intensive care unit. Method: The study was planned retrospectively. Data on hospital infection rates, incidence densities, invasive device-associated infections, infectious agents, comorbid diseases, and invasive procedures in non-COVID-19 pediatric patients were obtained from the medical records for the periods of April-September 2019 and April-September 2020 in the pediatric intensive care unit. Hand hygiene compliance rates of healthcare workers were evaluated. Results: Prior to the pandemic, the number of patients was 332, comprising 2,377 patient days with a nosocomial infection rate of 5.12, and an incidence density of 7.15. During the pandemic, the number of patients was 221, comprising 2,260 patient...
BACKGROUND Clostridium tetani is an anaerobic, gram-positive bacillus that causes tetanus infecti... more BACKGROUND Clostridium tetani is an anaerobic, gram-positive bacillus that causes tetanus infection. It usually enters the body through injury with contaminated objects. Tetanus differs from other diseases that can be prevented by vaccination in that it is not contagious and does not spread from person to person. The aim of this study is to evaluate the levels of Tetanus IgG in trauma patients admitted to the emergency department (ED). METHODS The study was planned as cross-sectional, prospective, and single-center. The study was conducted from January to July 2018 in the Kahramanmaraş Sütçü İmam University Hospital. Totally, 178 patients aged ≥18 years were included. For measurement of the level of Tetanus IgG, Clostridium tetani toxin 5S IgG kit (NovaLisa, NOVATEC) was used to quantitatively detect IgG type antibodies by micro-ELISA method in accordance with the manufacturer's recommendation. RESULTS In total, 143 cases were male and 35 were female. The mean age of the cases w...
Central Asian Journal of Medical Hypotheses and Ethics, 2021
Introduction: YouTube is a popular social media platform frequently searched by online users for ... more Introduction: YouTube is a popular social media platform frequently searched by online users for retrieving health-related information. Pulmonary rehabilitation programs have an important place in the COVID-19 treatment protocols. The aim of this study was to evaluate COVID-19 pulmonary rehabilitation videos on YouTube. Methods: A total of 180 videos tagged with the search terms “COVID-19 pulmonary rehabilitation”, “COVID-19 pulmonary exercise” and “COVID-19 pulmonary physiotherapy” were retrieved. Of these, 63 videos met the study inclusion criteria. The Global Quality Scale (GQS) and the modified DISCERN tool were performed for quality and reliability assessments. Duration of video, upload date, number of views, likes, dislikes, and comments were recorded. Video sources were determined. Results: Of the total 63 videos, 22 (34.9%) were classified in the high-quality group, 19 (30.2%) intermediate quality group, and 22 (34.9%) low quality group. The main sources of the high-quality...
Nowadays, antibiotic resistance is described as the most powerful matter that threatens human hea... more Nowadays, antibiotic resistance is described as the most powerful matter that threatens human health. We search for the effects of family physicians to rational use of antibiotics (RUA) and enhancing adaptation goals. The study is performed randomly in outpatients older than 18 whom were prescribed antibiotics by face-to-face questionnaire. Closed ended questions are asked about demographic features, RUA adaptation, family physician and chemist notification. Statistical analysis of acquired data is done. RUA non-adherence is 50.3% (67). Antibiotic is prescribed 51.1% (68) by family physicians because of upper respiratory tract infection, this group is the most non-adherence one with 63.2% (43). Family physicians informed 38.3% (51) prescribed patients about antibiotics. In the group informed by family physicians, it makes a meaningful difference in terms of adherence to the use of antibiotics and patient's having enough knowledge. Because it takes a long time to develop new anti...
Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi, 2019
Amaç: Bu çalışmada operasyon sonrası cerrahi alan enfeksiyonu gelişen hastaların operasyon öncesi... more Amaç: Bu çalışmada operasyon sonrası cerrahi alan enfeksiyonu gelişen hastaların operasyon öncesi ve sonrası yaptığı uygulamalar ve konağa ait faktörlerin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler: Çalışma prospektif, kesitsel ve tanımlayıcı olarak planlandı. Kahramanmaraş Sütçü imam Üniversitesi Tıp Fakültesi Hastanesinde farklı bölümler tarafından opere edilen ve enfeksiyon gelişen hastalar çalışmaya dahil edildi.Bulgular: Çalışmaya 67 hasta dahil edildi (% 59.7’si erkek, %40.3’ü kadın). Olguların % 19.4’üne (n=13) preoperatif dönemde kan transfüzyonu yapılmış iken, % 80.6’sına (n=54) kan transfüzyonu yapılmamıştır. Olguların % 97’si (n=65) preoperatif dönemde antiseptikli duş almış ve olguların % 53.7’si (n=36) preoperatif dönemde kıl temizliği yapmıştır. Operasyon sonrası yara yerinde enfeksiyon gelişen hastaların dağılımı incelendiğinde hastaların % 61’inde Gram (-) bakteri, % 25.5’inda Gram (+) bakteri ve % 4.5’inde mantar üremesi saptanmıştır. Sonuç: Cerrahi alan enf...
Background There is growing evidence indicating that children are less affected from COVID-19. So... more Background There is growing evidence indicating that children are less affected from COVID-19. Some authors speculate that childhood vaccinations may provide some cross-protection against COVID-19. In this study, our aim was to compare the circulating antibody titers for multiple childhood vaccine antigens, as an indicator of the state of immune memory between patients with COVID-19 and healthy controls, with a specific aim to identify the association between disease severity and antibody titrations which may indicate a protective function related to vaccine or disease induced memory. Methods This study is a case-control study including 53 patients with COVID-19 and 40 healthy volunteers. COVID-19 severity was divided into three groups: asymptomatic, mild and severe. We measured the same set of antibody titers for vaccine antigens, and a set of biochemical and infection markers, in both the case and control groups. Results Rubella (p = 0.003), pneumococcus (p = 0.002), and Bordetell...
On January 7, 2020, it was announced that the Chinese Government isolated a new variant of Corona... more On January 7, 2020, it was announced that the Chinese Government isolated a new variant of Coronavirus (SARS CoV-2). Officials reported that populations were not equally affected in terms of the number of cases, severe illness, and death. As of 28 December 2020, 81,000,000 cases have been confirmed globally, and approximately 1,770,000 total deaths have been reported for COVID-19. Besides difficulties of COVID-19 management in the acute stage, long-term consequences of the infection could cause widespread public health problems across the World. This review article aims to examine current literature regarding COVID-19, identify post-illness sequelae, detect patients at risk for sequelae, and provide guidance to management strategies. In the report, long-term pulmonary sequels and systemic problems including cardiovascular, neurological, psychiatric, endocrinologic, nephrological, hematologic, gastrointestinal, dermatologic, etc. of COVID-19 are discussed in accordance with recent scientific publications.
Background
There is growing evidence indicating that children are less affected from COVID-19. So... more Background There is growing evidence indicating that children are less affected from COVID-19. Some authors speculate that childhood vaccinations may provide some cross-protection against COVID-19. In this study, our aim was to compare the circulating antibody titers for multiple childhood vaccine antigens, as an indicator of the state of immune memory between patients with COVID-19 and healthy controls, with a specific aim to identify the association between disease severity and antibody titrations which may indicate a protective function related to vaccine or disease induced memory.
Methods This study is a case-control study including 53 patients with COVID-19 and 40 healthy volunteers. COVID-19 severity was divided into three groups: asymptomatic, mild and severe. We measured the same set of antibody titers for vaccine antigens, and a set of biochemical and infection markers, in both the case and control groups.
Results Rubella (p = 0.003), pneumococcus (p = 0.002), and Bordetella pertussis (p < 0.0001) titers were found to be significantly lower in the case group than the control group. There was a significant decline in pneumococcus titers with severity of disease (p = 0.021) and a significant association with disease severity for Bordetella pertussis titers (p = 0.014) among COVID patients. Levels of AST, procalcitonin, ferritin and D-dimer significantly increased with the disease severity.
Discussion Our study supports the hypothesis that pre-existing immune memory, as monitored using circulating antibodies, acquired from childhood vaccinations, or past infections confer some protection against COVID-19. Randomized controlled studies are needed to support a definitive conclusion.
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Papers by Ahmet Riza Sahin
CoV-2). Officials reported that populations were not equally affected in terms of the number of cases, severe illness,
and death. As of 28 December 2020, 81,000,000 cases have been confirmed globally, and approximately 1,770,000
total deaths have been reported for COVID-19. Besides difficulties of COVID-19 management in the acute stage,
long-term consequences of the infection could cause widespread public health problems across the World. This review
article aims to examine current literature regarding COVID-19, identify post-illness sequelae, detect patients at
risk for sequelae, and provide guidance to management strategies. In the report, long-term pulmonary sequels and
systemic problems including cardiovascular, neurological, psychiatric, endocrinologic, nephrological, hematologic,
gastrointestinal, dermatologic, etc. of COVID-19 are discussed in accordance with recent scientific publications.
There is growing evidence indicating that children are less affected from COVID-19. Some authors speculate that childhood vaccinations may provide some cross-protection against COVID-19. In this study, our aim was to compare the circulating antibody titers for multiple childhood vaccine antigens, as an indicator of the state of immune memory between patients with COVID-19 and healthy controls, with a specific aim to identify the association between disease severity and antibody titrations which may indicate a protective function related to vaccine or disease induced memory.
Methods
This study is a case-control study including 53 patients with COVID-19 and 40 healthy volunteers. COVID-19 severity was divided into three groups: asymptomatic, mild and severe. We measured the same set of antibody titers for vaccine antigens, and a set of biochemical and infection markers, in both the case and control groups.
Results
Rubella (p = 0.003), pneumococcus (p = 0.002), and Bordetella pertussis (p < 0.0001) titers were found to be significantly lower in the case group than the control group. There was a significant decline in pneumococcus titers with severity of disease (p = 0.021) and a significant association with disease severity for Bordetella pertussis titers (p = 0.014) among COVID patients. Levels of AST, procalcitonin, ferritin and D-dimer significantly increased with the disease severity.
Discussion
Our study supports the hypothesis that pre-existing immune memory, as monitored using circulating antibodies, acquired from childhood vaccinations, or past infections confer some protection against COVID-19. Randomized controlled studies are needed to support a definitive conclusion.
CoV-2). Officials reported that populations were not equally affected in terms of the number of cases, severe illness,
and death. As of 28 December 2020, 81,000,000 cases have been confirmed globally, and approximately 1,770,000
total deaths have been reported for COVID-19. Besides difficulties of COVID-19 management in the acute stage,
long-term consequences of the infection could cause widespread public health problems across the World. This review
article aims to examine current literature regarding COVID-19, identify post-illness sequelae, detect patients at
risk for sequelae, and provide guidance to management strategies. In the report, long-term pulmonary sequels and
systemic problems including cardiovascular, neurological, psychiatric, endocrinologic, nephrological, hematologic,
gastrointestinal, dermatologic, etc. of COVID-19 are discussed in accordance with recent scientific publications.
There is growing evidence indicating that children are less affected from COVID-19. Some authors speculate that childhood vaccinations may provide some cross-protection against COVID-19. In this study, our aim was to compare the circulating antibody titers for multiple childhood vaccine antigens, as an indicator of the state of immune memory between patients with COVID-19 and healthy controls, with a specific aim to identify the association between disease severity and antibody titrations which may indicate a protective function related to vaccine or disease induced memory.
Methods
This study is a case-control study including 53 patients with COVID-19 and 40 healthy volunteers. COVID-19 severity was divided into three groups: asymptomatic, mild and severe. We measured the same set of antibody titers for vaccine antigens, and a set of biochemical and infection markers, in both the case and control groups.
Results
Rubella (p = 0.003), pneumococcus (p = 0.002), and Bordetella pertussis (p < 0.0001) titers were found to be significantly lower in the case group than the control group. There was a significant decline in pneumococcus titers with severity of disease (p = 0.021) and a significant association with disease severity for Bordetella pertussis titers (p = 0.014) among COVID patients. Levels of AST, procalcitonin, ferritin and D-dimer significantly increased with the disease severity.
Discussion
Our study supports the hypothesis that pre-existing immune memory, as monitored using circulating antibodies, acquired from childhood vaccinations, or past infections confer some protection against COVID-19. Randomized controlled studies are needed to support a definitive conclusion.